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Autoimmune Conditions and Immune-Stimulating Products

Autoimmune conditions and "immune support" products: what EMA, NCCIH and a 2025 review say about echinacea, ginseng and other herbs, and why to ask your specialist before using them.

Content last updated . This page has not been medically reviewed.

Short answer: if you have an autoimmune condition, ask your specialist before using a product sold for "immune support" or "immune boosting." MedlinePlus explains that in an autoimmune disease the immune system attacks the healthy cells of the organs and tissues by mistake, and that there are more than 80 types. [1] A product promoted to make the immune system stronger is not automatically helpful in that situation. The sources below show cautions, not proof of harm for every person. If you have trouble breathing, swelling of the face or throat, or collapse after taking any product, call 911.

What "immune-stimulating" means

Some herbs are promoted for "immune support." Researchers who reviewed the literature on herbs with immune-activating properties describe their review as a reference to help clinicians counsel patients with autoimmune skin diseases about specific herbal supplements. [2] Immune stimulation measured in the lab or in people is not the same as a proven flare of a disease, and the sources do not claim that.

What the sources say

ProductWhat the source foundSource type and evidence label
Echinacea (Echinacea purpurea, the EU monograph covers the fresh herb, herba recens)The EU herbal monograph says its use is not recommended in progressive systemic disorders, autoimmune diseases, immunodeficiencies, immunosuppression and diseases of the white blood cell system. [3] It also says an association with autoimmune diseases cannot be excluded. [3]EMA/HMPC monograph, 2015: documented regulator statement
Echinacea and immunosuppressantsNCCIH says there are theoretical reasons to suspect echinacea might interact with immunosuppressants. [4]Theoretical
Echinacea and allergyNCCIH says some people have severe allergic reactions and notes it is related to sunflowers, daisies and ragweed; the EU monograph advises people with atopic allergy to consult a doctor first. [4][3]Documented
Asian ginseng (Panax ginseng, root)NCCIH says it may worsen autoimmune disorders and interfere with blood clotting. [5]Documented by NCCIH, without a case count in the page we read
AstragalusNKF lists astragalus as higher risk especially for kidney transplant recipients or people with lupus nephritis. [6]Documented by NKF for kidney conditions
St. John's wort (Hypericum perforatum)NCCIH says it can weaken cyclosporine, which prevents the body from rejecting transplanted organs. [7]Documented (medicine effect, not an immune boost)

A 2025 scoping review

Researchers at the University of Pennsylvania searched PubMed for herbs with immune-activating properties. They reported 227 distinct herbal supplements with immunostimulatory properties: 79 supported by human studies, 145 by model-organism studies and 148 by laboratory studies. [2] Fifteen had the strongest evidence of immune activation: alfalfa, ashwagandha, astragalus, chlorella, echinacea, garlic, ginseng, green tea extract, Indian mulberry, liquorice, mistletoe, reishi mushroom, skullcap, spirulina and tinospora. [2] The authors note these herbs are widely marketed for "immune support." [2]

How to read this: it is a scoping review about autoimmune skin diseases, and much of the support is from animals and lab studies. [2] It identifies herbs that activate the immune system; it is not a trial showing that any of them cause a flare. Evidence label: preclinical and mixed, with a caution for clinicians.

For profiles of some of these herbs, see echinacea, garlic, green tea, ashwagandha and spirulina and chlorella. For the immune-product claims side, see echinacea, elderberry, garlic and mushrooms for immunity.

What we looked for and did not find

Proper evidence not found, in the sources we read, for controlled human trials showing that a particular immune-support product causes or does not cause flares in a named autoimmune disease. We read NCCIH, MedlinePlus, EMA and PubMed pages. Absence of such trials is not proof of safety.

Medicines that suppress the immune system

Many people with autoimmune conditions take medicines that reduce immune activity. Ask the prescriber or pharmacist before adding any herb; see supplements and immunosuppressants and transplant medicines and how interactions work. Never stop a prescribed medicine on your own.

Practical steps

  • Bring the product itself, including the plant name and plant part on the label (Latin names on labels).
  • Check multi-herb products such as "immune blends" and "green powders" against the list above; the label may name several of these herbs.
  • Report reactions; see side effects and reporting.

Return to Existing Health Conditions.

Frequently asked questions

Are "immune boosting" supplements good for autoimmune disease?

Proper evidence not found in the sources we read that they help. EMA's echinacea monograph does not recommend use in autoimmune diseases. [3]

Which herbs do sources flag?

NCCIH flags Asian ginseng; EMA flags echinacea; a 2025 review lists 15 herbs with the strongest evidence of immune-activating properties, including garlic and ashwagandha. [5][3][2]

Does that mean these herbs cause flares?

No source we read says so. The review identifies immune-activating properties and is a reference for clinicians. [2]

Can I use echinacea if I take an immunosuppressant?

NCCIH describes a theoretical interaction. [4] Ask the prescriber or a pharmacist.

What should I ask my specialist?

Ask whether any product you use could affect your condition or your medicines, and bring every label. [8]

References
  1. MedlinePlus (US National Library of Medicine). Autoimmune Diseases. Read 2026-10-23.
  2. Weiner JD, et al. Identifying immunostimulatory herbal supplements that may flare autoimmune skin diseases: a systematic scoping review. Lupus Sci Med. 2025;12(2):e001803. Read 2026-10-23.
  3. European Medicines Agency, Committee on Herbal Medicinal Products (HMPC). European Union herbal monograph on Echinacea purpurea (L.) Moench, herba recens, final, EMA/HMPC/48704/2014. 24 November 2015. Read 2026-10-23.
  4. NCCIH (US). Echinacea: Usefulness and Safety. Read 2026-10-23.
  5. NCCIH (US). Asian Ginseng: Usefulness and Safety. Read 2026-10-23.
  6. National Kidney Foundation (US). Herbal Supplements and Kidney Disease. Last updated September 5, 2025. Read 2026-10-23.
  7. NCCIH (US). St. John’s Wort: Usefulness and Safety. Read 2026-10-23.
  8. National Center for Complementary and Integrative Health (NCCIH, US). Using Dietary Supplements Wisely. Read 2026-10-23.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.